Request an Interpreter : Our Services : LanguageLinc : Community Action

Are you already a customer? If so, click here to login. If you are not a customer and need a login/password, click here. The benefit of becoming a LanguageLinc customer is your information will be automatically filled in the next time you request an interpreter! Below is our online request form for On-Site Interpretation Service.

ATTENTION!!! Any requests under 24 hours,

call 402-473-2940

Customer/Billing Information

First Name

Last Name

Title/Position

Company/Facility/Agency

Billing Address

Address (Continued)

City

State

Zip Code

Phone Number

Email Address

if you do not have an email enter LLrequest@communityactionatwork.org

Additional Billing Instructions

Interpreter Request Information

Type of Interpretation Service

For immediate over the phone interpretation call 402-473-2940 or toll free 1-888-469-6555

Interpreter Gender Preference

Date of Appointment

(MM/DD/YYYY)

Time of Appointment

CST

Estimated length of appointment

Location of Appointment

Suite/Room Number/Department

Post NA if none apply

On-Site Point of Contact

Patient/Client Name, if Available

If not available, type "NA"

Patient/Client Date of Birth

(MM/DD/YY) If not available, enter "00/00/00"

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Language

we do not provide ASL interpreters, please call 1-800-545-6244 to request ASL

If "Other Unlisted" language, please enter language here

Patient/Client Country of Origin/Dialect

Nature of Interpretation

Additional Instructions or Information-Phone number of patient/client

Interpreter Confirmation

Print or copy this page before you submit your request!

Our Services

Request an Interpreter

Customer/Billing Information

Interpreter Request Information

LanguageLinc believes effective interpretation and translation services are key to good communication.